Form VAT-01(C ) (See rule 65[1]&[3]] (To be attached with Form VAT -01) Photograph Declaration of Business Manager and person(s) authorized to receive notices & documents Instructions: 1. To be submitted in duplicate 2. This Form should be signed by: a) Proprietor, in case of Proprietorship concern b) All Partners, in case of Partnership firm c) Managing Director or authorized signatory, in case of a Company d) Karta, in case of Hindu Undivided Family e) Authorized Signatory, in all other cases 3. Use separate form for each person declared as Business Manager 4. Passport size photograph of the Business Manager to be pasted above. 1. Name of the Business : ______________________________ 2. TIN ___________________________ / Registration No_________________/TOT/CT 3. Full Name of the Business Manager: ______________________________ 4. Permanent address of the Business Manager: _____________________________ 5. Present address of the Business Manager: ______________________________ ______________________________ ______________________________ 6. Date from which authorized to act as ______________________________ Business Manager ______________________________ 7. Specimen signatures (i) ____________________ (ii)____________________________ 8. Particulars of other persons who are authorized to receive notices and other documents under the Act. Name _____________________________________________________ Address___________________________________________________ Signature__________________________________________________ Name _____________________________________________________ Address___________________________________________________ Signature__________________________________________________ Declaration: I/We declare that the person named above whose specimen signatures are appended in column 7 is authorized to act as a Business Manager for the above referred business for which application for registration is being filed under the Jammu and Kashmir Value Added Act,2005. His all actions in relation to this business will be binding on me/us. He is also authorized to receive notices and other documents under the Act. I/we also authorize the person/persons whose particulars are given in column 8, to receive notices and other documents under the Act and to act as my/our authorised signatory. Signatories Full Name Signature Status Extent of interest in business (Please write names of all signatories and attach another sheet, if space is inadequate) Acceptance as a Business Manager Acceptance of the person(s) authorized to receive notices etc. I, accept to act as a Business Manager I, accept to receive notices and for the above referred business other documents under the Act Signature _________________________ Signature ____________________ Name _________________________ Name ____________________ Parentage _________________________ Parentage ____________________ Address _________________________ Address ____________________ Date _________________________ Date ____________________ (Attach additional sheet if space is inadequate) Verification The above details are true and correct to the best of my knowledge and belief and that nothing has been concealed therein. I/we further declare that I/we shall inform the Department whenever there is a change in the information provided in this form. Signature _______________________ Full name_______________________ Place: Status _______________________ Date: Seal _______________________
